Yang E Kim

Primary specialty

OptometristTaxonomy code 152W00000X

License

12576T Issued in CA

Legal business name

YANG E KIM

Practice address

11280 Merritt St
Castroville, CA 95012-3421

Phone

(831) 633-2525

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brett Fredericks, O.D.

Title

Optometrist

Phone

(831) 633-2525

Specialties & licenses 1

Addresses

Other names 1

• Fredericks and Kim Optometry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dai Tran, OD

  • Optometrist
  • San Jose, CA
  • NPI 1649340076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1316318397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11280 MERRITT ST",
            "city": "CASTROVILLE",
            "state": "CA",
            "postal_code": "950123421",
            "telephone_number": "831-633-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11280 MERRITT ST",
            "city": "CASTROVILLE",
            "state": "CA",
            "postal_code": "950123421",
            "telephone_number": "831-633-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG E KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "831-633-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12576T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericks and Kim Optometry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Toporcer
• Alyssa Torres
• Nathaniel Tsai
• Cheri Lynn Tuttle Callis, L.AC.
• Janette Lynn Weldon, D.D.S.
• Yang E Kim (Castroville Optometry)
• Elissa L Ybarra
• Sujeit Zaragoza
• Juana Zavala Zavala

• Optometrist in Castroville, CA
• Providers in Castroville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.